DOUGLAS A LACY - Dietitian and Nutritionist License in Illinois | # 164004087

DOUGLAS A LACY

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004087

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

A

Last Name

LACY

Business Name

DOUGLAS A LACY

Original Issue Date

02/25/2004

Effective Date

08/09/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2020